Can a spreader graft be used to raise the bridge, or only widen it in rhinoplasty?

To answer your question, yes, a spreader graft can be used to raise the upper lateral cartilage, and that is its primary function. If the upper lateral cartilage collapses after primary rhinoplasty, the spreader graft will raise it back up to the proper position. It doesn't necessarily have to widen the nose. It is important to see a rhinoplasty specialist in person so he/she can examine you and determine the best course of action.

Thank you for an excellent question.  Spreader grafts are pieces of cartilage placed between the upper lateral cartilage and the dorsal cartilage.  After a rhinoplasty, the angle between these two structures can become too acute, which creates a narrow angle and reduced airflow.  By placing a spreader graft, the angle is slightly opened, which creates more room for air passage.  There are other uses for spreader grafts as well.  They can be used as struts to straighten a crooked nose, or lengthen an overly short nose.  While they can add a small amount of dorsal height,  there are other types of grafts and implants that work better for this need.I would suggest consulting with a plastic surgeon with significant rhinoplasty experience.  Spreader grafts and other types of grafts in the nose require finesse and experience to get the best results.Best of luck with your nose.Jeff Rockmore

Dear Little Miss,In a word, yes, spreader grafts can be used to augment the dorsum of the nose.  They are not generally considered the best way to do that, depending on where the elevation is needed.  Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon for options.  Good luck!